Revascularization of the occluded right coronary artery during left ventricular assist device implantation

Evgenij V. Potapov, Ralf Sodian, Matthias Loebe, Thorsten Drews, Stephan Dreysse, Roland Hetzer

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

A 62-year-old man with end-stage ischemic cardiomyopathy and left ventricular function of 20% was evaluated for heart transplantation. Cardiac catheterization revealed proximal occlusion of the dominant right coronary artery (RCA) with collateral blood flow and significant stenosis in the distal part, but no significant re-occlusions of the stented left coronary artery and no significant stenosis of the left circumflex artery. When the patient became catecholamine dependent, Novacor left ventricular assist device (LVAD) implantation, as a bridge to transplantation, was considered and the patient operated upon. To avoid ischemic right heart failure after LVAD implantation, a concomitant re-vascularization of the distal RCA was performed. The post-operative course was uneventful. Five weeks later, a control angiogram showed the patent bypass graft. The distal stenosis of the RCA was treated successfully with dilation and stent implantation. The patient is presently in stable condition on LVAD and awaits transplantation as an outpatient.

Original languageEnglish (US)
Pages (from-to)918-922
Number of pages5
JournalJournal of Heart and Lung Transplantation
Volume20
Issue number8
DOIs
StatePublished - 2001
Externally publishedYes

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Heart-Assist Devices
Coronary Vessels
Pathologic Constriction
Transplantation
Coronary Stenosis
Heart Transplantation
Cardiac Catheterization
Cardiomyopathies
Left Ventricular Function
Catecholamines
Stents
Dilatation
Angiography
Outpatients
Heart Failure
Arteries
Transplants

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Transplantation

Cite this

Revascularization of the occluded right coronary artery during left ventricular assist device implantation. / Potapov, Evgenij V.; Sodian, Ralf; Loebe, Matthias; Drews, Thorsten; Dreysse, Stephan; Hetzer, Roland.

In: Journal of Heart and Lung Transplantation, Vol. 20, No. 8, 2001, p. 918-922.

Research output: Contribution to journalArticle

Potapov, Evgenij V. ; Sodian, Ralf ; Loebe, Matthias ; Drews, Thorsten ; Dreysse, Stephan ; Hetzer, Roland. / Revascularization of the occluded right coronary artery during left ventricular assist device implantation. In: Journal of Heart and Lung Transplantation. 2001 ; Vol. 20, No. 8. pp. 918-922.
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